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@Ashutoshdwivedi-d8t 4 күн бұрын
I had ankle injury when i start running i got swelling near ankle and fibula area can i use this injection because after one month i will have to run to run 5km in 25 minutes
@srikanthnithyanandammd 3 күн бұрын
Dealing with ankle injuries can certainly be frustrating, especially when you have specific fitness goals like running a 5km. Steroid injections can be an option for reducing inflammation and pain in the affected area. However, it's important to weigh both the potential benefits and risks of steroid injections, as they are not benign treatments. Benefits might include rapid relief of inflammation and swelling, which could help you get back to training sooner. On the downside, potential risks may include weakening of the surrounding tissues, potential increase in infection risk, and other local or systemic side effects. Given that you have an upcoming running commitment, it's essential to discuss this treatment option thoroughly with your doctor or a sports medicine specialist.
@lathavenkatachalam610 6 күн бұрын
Neatly explained . Thank you very much
@srikanthnithyanandammd 6 күн бұрын
Thank you
@sarahmoretti 7 күн бұрын
Dr, I work on boats, I had a rough day on the water, boat bouncing a lot. At the end of the shift I couldn’t walk. I have severe pain in the front of the knee, and on both sides. Twisting it was Severe and made me pass out, on the sides is extremely tender to touch and a lot of pain and pain right on the knee cap. MRI showed no tears just patella maltrscking but I got worse after a week of resting and icing and I now completely can not walk. What could this be ?
@srikanthnithyanandammd 6 күн бұрын
Unlikely to be anything significant. But still your symptoms of not able to walk is concerning and I would recommend checking with a doctor to make sure all ok.
@VenerableVivek 7 күн бұрын
Hello Doctor... I had an MCL injury while I was playing volleyball. A boy leg hit on my knee and i fell down. The doctor told me I had an MCL injury. Its 20 days and I can see there is no pain but when i try to stretch the leg straight... I feel some tightness over there and also knee doesn't bent. Does these exercises will help me ?
@srikanthnithyanandammd 6 күн бұрын
Yes, it should help.
@reganwolf4405 7 күн бұрын
Qeustion can i take saxenda on a lower dosse like 0.25 or less? Do i need to start at 0.60? Why is this higher start then ozimpic? Thank you
@srikanthnithyanandammd 3 күн бұрын
Each medication indeed has its specific dosing guidelines, including Saxenda. For Saxenda, the starting dose is typically 0.6 mg, which is part of its dosing regimen to gradually increase the dosage to minimize side effects and improve tolerability. Starting at a lower dose like 0.25 mg isn't standard practice, and due to the design of the pen injector, it may not be possible to accurately dose lower than 0.6 mg. The starting doses are determined based on clinical trials and the drug's pharmacological profile, which might explain the difference in starting doses compared to other medications such as Ozempic. It's crucial to discuss your dosing questions and any concerns with your doctor, as they can provide guidance tailored to your health needs and ensure you're using the medication correctly for the best outcomes. Always follow your healthcare provider's instructions for any medication.
@vimalkumarkambale4207 9 күн бұрын
Hello Doc. While jumping I had a innerward bend in my knee. From the pain and symptoms it seems it's MCL sprain grade 1. It's been a week, I can walk, I limp sometimes in between and have a problem in straightening my leg or bending at it's full. I'm having my Army interview next week. What am I supposed to do? I need to perform jumps and runs there.
@srikanthnithyanandammd 8 күн бұрын
I am concerned you could have a acl injury or could have subluxation of knee cap. I recommend seeing a physician for a thorough evaluation
@vimalkumarkambale4207 8 күн бұрын
I've been trying your exercises and it's really getting me to work. Also the medications and home remedies are working. From yesterday night I can straighten my knee without any pain. It's now matter of squatting.
@monachawla2757 13 күн бұрын
Thank you so much sri.. can you check my mri and maybe suggest further?
@srikanthnithyanandammd 11 күн бұрын
Unfortunately, an MRI alone is not sufficient to determine the appropriate treatment. It is advisable to consult with a healthcare professional who can provide an accurate diagnosis and recommend a suitable treatment plan.
@VikaBoko 13 күн бұрын
THANKs Doc for explaining.
@srikanthnithyanandammd 11 күн бұрын
glad it was helpful
@ashokswaminathan3642 13 күн бұрын
Excellent intro to exercise for beginners like me !
@srikanthnithyanandammd 11 күн бұрын
Thank you.
@drewgsands 15 күн бұрын
Thank you that was the very informative.
@srikanthnithyanandammd 11 күн бұрын
Thank you.
@virginiav1704 15 күн бұрын
I have stage 3 osteo arthritis in the left knee and stage 2 in the right and am considering stem cell therapy. My question Doctor, is if I get a hyaluronic acid shot, can I still try stem cells later on? if so, can it be done soon after the h/a shot? in other words, are they a compatible therapy and could be done together? Thanks
@srikanthnithyanandammd 11 күн бұрын
While I don't have extensive experience with stem cell therapy, I am familiar with PRP (platelet-rich plasma) treatment, which is somewhat analogous. I have no objections to performing PRP procedures following hyaluronic acid (HA) injections.
@arunrajaraman3946 15 күн бұрын
Thank you so much ❤
@srikanthnithyanandammd 11 күн бұрын
Appreciate it
@manakumar1309 17 күн бұрын
Thanks for your video Doctor. I met with car accident three months back and still taking bed rest. My both bones fractured below the knee. I consulted with the doctor and used knee brace for two weeks. I took mri 4 weeks after the accident. Mri shows fracture and acl tear. But I never have ACL symptoms. But after one month of accident I started to feel MCL symptoms. While walking with the walker inside the house i feel pain in mcl area. I have all symptoms of MCL..But MRI did not show MCL. .Now I sm walking with the walker without putting weight in one leg to avoid pain. How to recover from MCL pain doctor.
@srikanthnithyanandammd 11 күн бұрын
Given your history, a proper clinical exam is important and i would not go by MRI findings, Would recommend seeing a clinician to address this further.
@manakumar1309 11 күн бұрын
@srikanthnithyanandammd Thanks doctor. I will let you know
@imtiyazluhar795 19 күн бұрын
Hello sir My wife has mcl most probably injury grade 1 shour we continue exercise or take comoete rest ? Since last 3 days she is yakkjg rest only
@srikanthnithyanandammd 19 күн бұрын
Given the circumstances, it's wise to consult with a healthcare professional to confirm the severity of the injury. If it's indeed a Grade 1 MCL injury, a period of relative rest, typically ranging from 7-10 days, is often recommended before gradually starting exercises tailored for rehabilitation. This approach aims to prevent further strain and encourage proper healing of the ligament. However, the specific recommendations and rehab exercises should ideally come from a doctor or physical therapist, as they can offer guidance best suited to her specific condition. Wishing your wife a speedy recovery!
@dp2777 20 күн бұрын
Hello I strained my MCL 6 days ago but I don’t know how. I believe it’s a grade 1 since I am able to bear weight on the leg and can do slow full ROM squats with balance assistance. Initially, I felt a pulling sensation when I would bend my knee but it went away around the 5th day. Should I start at phase 1 and continue until the end of phase 2?
@srikanthnithyanandammd 19 күн бұрын
Given the absence of a clear mechanism for the injury and the symptoms you're describing, it might be something other than a straightforward MCL strain - sometimes conditions like pes anserine bursitis can present similarly with the symptoms you've mentioned. It would be wise to start with phase 1 of your rehabilitation to safely gauge how your body responds. However, it's also very important to get a professional evaluation to ensure that you've correctly identified the issue and that everything is indeed okay. A doctor or a physical therapist can provide you with a precise diagnosis and guide you on the best course of action for your specific situation.
@dp2777 19 күн бұрын
@ thank you for the reply. I tried phase 1 exercises yesterday and once I reached the 2nd exercise, around the 14th rep my knee began feeling off. The sensation of a pull in the inner part of my left knee returned. When I hyperextend (when standing) it doesn’t feel normal.
@Yukeena 21 күн бұрын
I just bought a bike. I can't wait for it to come in. I will start eating healthy, consuming less carbs and biking every morning before work! I weigh 225 lbs and running is difficult for me right now, so I am gonna bike until i'm confident enough to start running.
@srikanthnithyanandammd 21 күн бұрын
That’s awesome. Keep me posted
@AnandIyer 22 күн бұрын
Great set of exercises for beginners. Thank you.
@srikanthnithyanandammd 19 күн бұрын
Thank you.
@kyletaylor4312 24 күн бұрын
You're almost understandable, talk 1/3rd slower
@srikanthnithyanandammd 19 күн бұрын
Thank you for your feedback.
@kyletaylor4312 25 күн бұрын
I can't understand anything you said
@srikanthnithyanandammd 19 күн бұрын
Thank you for your feedback.
@SarkisKlinik 27 күн бұрын
For spinal lumbar Disc herniation ,which popular exercises do you recommend ?
@srikanthnithyanandammd 19 күн бұрын
For managing spinal lumbar disc herniation, extension-based exercises are often found to be beneficial, but it's important to remember that the effectiveness of these exercises can vary significantly from one individual to another. It's key to base the choice of exercises on how movements affect your pain. If certain movements exacerbate the pain, it’s best to avoid those and focus on the ones that feel comfortable. However, I must emphasize that any exercise regimen should be patient-specific, tailored to your unique situation, and ideally, developed in consultation with a healthcare professional.
@SarkisKlinik 19 күн бұрын
@@srikanthnithyanandammd Thank you
@SarkisKlinik 28 күн бұрын
which exercises are recommended to be done at home for knee osteoarthritis ?
@srikanthnithyanandammd 27 күн бұрын
In this particular video, I have laid out all the exercises
@SarkisKlinik 28 күн бұрын
As far as I know , intraarticular cortisone shots are done when we have suprapatellar bursitis accompanies the osteoarthritis , just to make bursitis better. So is it also injected without having any bursitis ? Thanks
@srikanthnithyanandammd 27 күн бұрын
Yes, intrarticular cortisone injection can be helful for pain relief with knee arthritis
@ashokswaminathan3642 28 күн бұрын
Very informative!
@srikanthnithyanandammd 27 күн бұрын
thank you.
@SarkisKlinik 28 күн бұрын
I notice many patients with knee osteoarthritis also come with suprapatellar bursitis with accumulation of synovial fluid . My question , When should we aspirate this synovial fluid accumulation ? What if we not treat this synovial fluid ?will that be absorbed by itself ? If not , how to treat this synovial fluid accumulation ?Is there any alternative to aspiration, something noninvasive ?
@srikanthnithyanandammd 27 күн бұрын
in my experience, these are just effusion inside the knee joint. most time they resolve on their own. in some case, i do consider aspiration followed by a steroid injection or prp injection on a case by case basis.
@SarkisKlinik 28 күн бұрын
Hello, As far as I know , Heat is contraindicated when you have acute cases like acute pain in the joints due to osteoarthritis or acute bursitis , or acute tendonitis because heat increases the blood circulation to inflamed tissue and due to venous stasis you get more swelling and worsening of the case. I just heard this , please correct me and let me know what do you think about it.
@srikanthnithyanandammd 27 күн бұрын
You bring up a commonly held belief regarding the use of heat in acute cases. However, recent studies suggest that the concern for increased swelling due to heat might be overestimated. While it's important to approach each case individually and with caution, the idea that heat therapy exacerbates inflammation isn't as clear-cut as previously thought.
@SarkisKlinik 27 күн бұрын
@@srikanthnithyanandammd thanks , could you send me the articles supporting this new concept?
@afterzanzibar 29 күн бұрын
This was very helpful. I feel like the back of my ankle is weak and cant support me very well. Like there is no "spring." Will these exercises help me?
@srikanthnithyanandammd 19 күн бұрын
yes, thank you
@garywilson8331 Ай бұрын
Many thanks I'll f9llow as prescribed❤
@srikanthnithyanandammd 27 күн бұрын
appreciate the comment
@sanatansagar8114 Ай бұрын
Hello sir please help me,,,,,,, I have( acl grate 1 injuri) What i will do ,,,i don't know I am depress In my city there is no any good doctor,,allready i have changed many doctor ,,no result my knee,,, I have to run because my army interview is near ,,and this is my last chance 😢 plz help what i wiil do,,sir
@srikanthnithyanandammd 27 күн бұрын
Is it your MCL or ACL?
@srikanthnithyanandammd Ай бұрын
Level 1 Knee Osteoarthritis Rehabilitation - Recover From Swelling and Pain (10min Follow Along) kzbin.info/www/bejne/pofbgWSkj5Wcadk
@Better_Call_Raul Ай бұрын
Jogging is a higher impact exercise than walking but must consider that jogging covers more distance with each stride than a walking step. The critical number is cumulative load. And the difference is not that significant. So bit misleading to say jogging is higher impact. If we have a 100 pound person walking 1 mile: 2000 steps X 250 lbs per step = ~500,000 lbs cumulative load. If we have a 100 pound person jogging 1 mile: 1600 strides X 420 lbs per stride = ~640,000 lbs cumulative load. Do you agree? 🤔
@srikanthnithyanandammd Ай бұрын
You raise an excellent point about cumulative load, and it's crucial to consider both aspects when discussing the impact of different exercises. Indeed, jogging does involve a higher peak joint force, which can lead to concerns, especially for those new to higher impact activities or with pre-existing conditions. Your calculation beautifully illustrates that the difference in total cumulative load between jogging and walking isn't as significant as one might think. However, the higher peak forces in jogging cannot be overlooked, as they are often the culprits behind the increased risk of injury if a person hasn't properly conditioned their body for such impacts. In my clinical experience, I often see patients start developing worsening symptoms if they do not progress slowly;
@Better_Call_Raul Ай бұрын
@@srikanthnithyanandammd Yes, my doctor told me to walk (diagnosed with knee OA and normal BMI). I asked him if I could jog. He said to listen to your body. So he did not restrict anything. In my experience, walking does not worsen symptoms. I typically walk two miles a day and rarely have joint pain the following day. I recently tried mixing in a 1/4 mile jog as part of my 2 mile walk and experienced moderate joint pain the next day. Expect that the joint pain will mostly resolve within 24 hours. Will continue to monitor. My goal is to jog 1 mile and walk one mile. I think it is possible with gradual introduction.
@jotheeswaran9659 Ай бұрын
Very useful sir 🎉
@srikanthnithyanandammd 27 күн бұрын
Thank you
@deanaburnham9571 Ай бұрын
KETO DIET....MEAT MEAT MEAT LIMIT CARBS NO GRAIN BRAIN
@srikanthnithyanandammd Ай бұрын
Glad that helps you
@petersipos4728 Ай бұрын
If you set treadmill at 1% incline than it's comparable to running
@srikanthnithyanandammd 27 күн бұрын
yes
@LEO-ll1ww Ай бұрын
sir iam 20 male i have poor felxibility and bad posture if i do this strechting routine how many years its take to get good flexibility. and i can do this routine two times a day?
@srikanthnithyanandammd Ай бұрын
Recommend 2 times a day if you can be consistent. Consistency is more important to improve flexibility.
@LEO-ll1ww Ай бұрын
@@srikanthnithyanandammd thank you sir il be consistent.
@juliob1080 Ай бұрын
I had this in high school wrestling. I believe I was scratched on my chin and the mats weren’t properly cleaned. It messed up my season.
@srikanthnithyanandammd 27 күн бұрын
yes, its a common problem that we see
@jamalnazir9857 Ай бұрын
Hello sir , I had an accident 5 weeks back and got my MCL injured ( Grade 2 on MRI ) and complete MPFL tear but on clinical examination kneecap was not dislocated according to my orthopedic surgeon so surgery was not recommended for complete tear of MPFL . From last 5 weeks I’ve been using hinged knee brace continuously but had no exercise. I was on rest and now I can’t fully extend or flex my knee which is making it difficult for me to walk . Please make it clear for me from which exercises do I’ve to start and for how many days should I continue it ? Should I wear my knee brace during exercises or not ? And until when should I leave wearing a knee brace ?
@srikanthnithyanandammd Ай бұрын
Most of the time, the course of treatment depends on the clinical examination. If you've experienced a patellar dislocation, there's a chance you might also have a slight MCL sprain. However, the primary focus should be on healing the patellar dislocation. In cases involving an MPFL injury, I typically advise two weeks of immobilization to allow the ligament to heal properly. After this period, it's beneficial to begin slowly increasing the knee's range of motion. If it's been five weeks and you're still unable to completely extend or flex your knee, I highly recommend consulting a therapist. This situation calls for specialized, one-on-one rehabilitation to prevent the development of knee stiffness, which could lead to long-term issues. I hope this advice is beneficial.
@vijaysivaraj806 Ай бұрын
Amazing Video Sir!! I'm doing PM&R residency and i find it very useful for my academics and helpful for me to treat our OPD patients
@srikanthnithyanandammd Ай бұрын
Thank you. Glad it was helpful. All the best.
@prasannadeshmukh3006 Ай бұрын
Wonderful....very helpful to me....Thank you!
@srikanthnithyanandammd Ай бұрын
Thank you. Glad it was helpful.
@d.g.7582 Ай бұрын
Dr I found your information helpful but is there a possibility of slowing down your speech? I did playback three times before I completely understood what you said. I know there's time limits on these shorts, so maybe that is the reason for the pressured speech.
@srikanthnithyanandammd Ай бұрын
This video will help. Non-surgical Knee Arthritis Treatment Options - Sports and Integrative Medicine MD Approach kzbin.info/www/bejne/amink2uKo714pqc
@srikanthnithyanandammd Ай бұрын
Thank you for the feedback
@didadididida Ай бұрын
is it possible to put some weight on the knees, like to make power exercise ?
@srikanthnithyanandammd Ай бұрын
I would highly recommend to watch the full video on this topic. To answer your question, if one adds weight then the exercise would not be effective. kzbin.info/www/bejne/barRmYxuoL5omK8
@latinovoice2224 Ай бұрын
Can the isometric exercises been done everyday?
@srikanthnithyanandammd Ай бұрын
Yes. However if you are choosing the lower extremity ones, recommend 3-4 times a week
@VIP1408U Ай бұрын
Hello doctor My bp was high in jan 24 so doctor proscribed me nebevolol 2.5 mg daily my age is 31 now my bp is under control and my bp is realated to indigestion and hyper acidity so should i continue the drug or get ride off slowly.
@srikanthnithyanandammd Ай бұрын
Most likely your bp is well controlled because of medications. However one can control blood pressure with lifestyle modification. Would recommend working with your doctor to adjust your medications. To know more check out this video kzbin.info/www/bejne/eIqwonatg898sNk
@HERSCHELLEGAMING Ай бұрын
Sir i injured my mcl about 1 year ago while playing badminton. My question is why do i get my mcl injured often again and again in month it usually (3 to 5) times a month ?
@srikanthnithyanandammd Ай бұрын
It is unlikely you are injuring your mcl. Possible it could be pes anserine bursitis. Please discuss with a sports medicine doctor and sports physio to get a proper evaluation
@talukdertanim8641 Ай бұрын
Very underrated page, keep up the good work 👏 🙌 👍
@srikanthnithyanandammd Ай бұрын
Much appreciated!
@accordingtome697 Ай бұрын
What should be the exercises we can perform at home???
@srikanthnithyanandammd Ай бұрын
Complete Knee Osteoarthritis Rehabilitation Guide For Full recovery kzbin.info/www/bejne/a2PLfmecjZmhnK8
@srikanthnithyanandammd Ай бұрын
I just shared the complete rehab guide for knee osteoarthritis
@ahasphysio8197 Ай бұрын
Grade 3 mcl injury i am limping still 3 months now .3 weeks knee immobilized
@srikanthnithyanandammd Ай бұрын
Would highly Recommend seeing a sports medicine doctor. That’s very odd for someone to limp after 3months.
@ahasphysio8197 Ай бұрын
Sir my knee is in flexed position while walking and standing.But i can do all exercise.struggling with it .some kind of numbness in foot ..I had taken mri but it only shows lateral root meniscus fraying . I m walking now but sometimes when i put my weight some kind of buckling causes . I had feeling of strectch pain over femoral ending of MCL which is quiet pain full Knee immobilization caused my knee muscles to weakness. I m fed up with these all . I want to be full active in my is it possible sir . I want to look my family as well @@srikanthnithyanandammd
@ahasphysio8197 Ай бұрын
@@srikanthnithyanandammdSir i cant do some weighted exercise also. If does that i had pain back side of knee especially in lateral area . Some times i can feel pinprick pain on my back side of knee
@tanjiroakuma1829 2 ай бұрын
can i do pigeon stretch?
@srikanthnithyanandammd Ай бұрын
Not during the initial stages of injury
@tanjiroakuma1829 Ай бұрын
@@srikanthnithyanandammd but I can start doing some stretching right like after 3 days or maybe 2?
@glendahowes5905 2 ай бұрын
As long as mum gets her 15 min too
@srikanthnithyanandammd 2 ай бұрын
100%. Do it all the time. We are interdependent
@ahasphysio8197 2 ай бұрын
Hai Doctor I met with an injury on my left leg.on august 28 while playing football .the ball has hit directly to my outer part of ankle.At that time i doesnt had any pain .But 2 days after i felt pain in my medial side of left i doesnt cared abt it .Gradually the things get worsen. I really get appointment with the doctor and he assesed my knee bt not cleanly he didnt get it.i had pain on compression test and valgus stress test. Afterwards i had been on a stick.After that my cosin is an ortho dr has adviced me 2 wear knee immobilizer for 3 weeks . She said mcl and lcl injury. I had been immobilized for 3 weeks .after 3 weeks i tried to walk but its very difficult for me and i m struggling.But by the time i had taken an MRI .Subcutaneous edema,mild joint effusion,fraying of anterior root of lateral meniscus. After completing that month i had started gradual walking. But still i had limping,and knee in flexed postion during standing and walking . What has happened to me. I need my swelling to reduce .i want to return full level of activitym. When will ibget fully recovery please rply sir